About Thomas
Thomas Grinnell is a Licensed Clinical Social Worker (LCSW) based in New York who helps people handle stress, anxiety, depression, trauma, grief, addiction, bipolar disorder, and relationship or intimacy concerns. He also supports people working through parenting strain, self-esteem struggles, anger, and major life changes. He uses straightforward, practical approaches to help people get unstuck.
Thomas draws on a mix of client-centered work and evidence-informed methods to shape sessions to each person.
How Thomas works
He often uses Cognitive Behavioral Therapy to identify unhelpful thinking and Dialectical Behavior Therapy skills to manage strong emotions. He brings mindfulness and motivational techniques into conversations when they fit the person's goals. In a session Thomas listens first and asks clear questions about what is most pressing.
He helps people set short-term goals and practices simple skills between meetings. Sessions tend to focus on concrete steps that can reduce anxiety, improve mood, and make daily life more manageable. He has twelve years of direct counseling experience and more time in broader human services roles.
That background informs how he notices patterns, safety concerns, and practical barriers that get in the way of progress. Thomas explains options in plain language and checks in often about what is or isn’t working. People who want to learn coping skills, improve emotional regulation, or change repetitive patterns may find his style direct and collaborative.
He prefers to work with clear goals and measurable steps while remaining open to whatever a person brings into the room.
Thomas lists 7 ways of working on the entry:
What Thomas works with
The areas below are the ones Thomas selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Addictions
- Anger management
- Antisocial personality
- Autism and Asperger Syndrome
- Bipolar disorder
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family of origin issues
- Family problems
- Fatherhood issues
- Gender dysphoria
- Impulsivity
- Intellectual disability
- Intimacy-related issues
- LGBT
- Mood disorders
- Obsessions, compulsions, and OCD
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 12 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How his approaches translate to online care
Client-Centered Therapy focuses on listening and understanding what matters most to you. In practice this means the therapist asks about your immediate concerns and follows your lead to set goals and priorities. Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors that keep problems going and teaches tools to change them; it is useful for anxiety, depression, and many mood concerns.Finding the right approach is often a collaborative process. The therapist will work with each person to try methods and see what fits their needs and preferences. Goals, pace, and techniques are reviewed together so the plan can be adjusted over time.
Online therapy offers flexible ways to connect via video calls, phone sessions, live chat, or text-based messaging. Video calls are good for in-depth conversations and skill practice. Phone sessions can be a good option when bandwidth or camera use is difficult. Live chat and text messaging let people check in between sessions and fit brief updates into a busy day. These options make it easier to keep continuity of care and to use therapy in the routines of daily life.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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